Jerry Bennett
Community/Retail Pharmacy
221 Main Street, Mountain View
Oklahoma, 73062-0720
580-347-2519 580-347-2319
Jerry Bennett is a Community/Retail Pharmacy in Mountain View, Oklahoma. It is located at 221 Main Street, Mountain View and it's customer support contact number is 580-347-2519. The authorized person of Jerry Bennett is Jerry Bennett who is Owner of the pharmacy and his contact number is 580-347-2519. Active license number of Jerry Bennett is 413679 for Community/Retail Pharmacy in Oklahoma. Jerry Bennett accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance.
Jerry Bennett is a pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.
Pharmacy Details:
Jerry Bennett type, location, contact phone number and fax are as below. Patients can directly walkin to the pharmacy or can call on the below given customer support phone number for enquiries.
| Name: | Jerry Bennett |
| Type: | Community/Retail Pharmacy |
| Location: | 221 Main Street, Mountain View,
Oklahoma, 73062-0720 |
| Phone: | 580-347-2519 |
| Fax: | 580-347-2319 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this pharmacy is as below. Person's position and contact details are also mentioned below.
| Name: | Jerry Bennett |
| Position: | Owner |
| Contact Number: | 580-347-2519 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given pharmacy are as mentioned below.
| NPI Number: | 1821173055 |
| NPI Enumeration Date: | 26 Oct, 2006 |
| NPI Last Update On: | 18 Nov, 2015 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Jerry Bennett are as mentioned below.
| Specialization | License Number | State | Status | |
| Community/Retail Pharmacy | 413679 | Oklahoma | Primary | |
| Pharmacy | | | Secondary | |
| Compounding Pharmacy | | | Secondary | |
| Long Term Care Pharmacy | | | Secondary | |
| Durable Medical Equipment & Medical Supplies | | | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers of the pharmacy such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 100232770A | Medicaid | Oklahoma | |
| 2072969 | Other | | Pk |
Medicare Enrollment:
Jerry Bennett is enrolled in medicare and it's Pac Id, enrollment Id, registered name and type is as stated below.
| PAC ID: |
Enrollment ID: |
Org Name | Medicare Entity Type |
| 0244357788 | O20100930061004 | Jerry Bennett | DME SUPPLIER - PHARMACY |
| 0244357788 | O20161118000143 | Jerry Bennett | PART B SUPPLIER - MASS IMMUNIZATION (ROSTER BILLER ONLY) |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Po Box 140,
Mountain View, Oklahoma |
| Zip: | 73062-0140 |
| Phone Number: | -- |
Patients can reach Jerry Bennett at
221 Main Street, Mountain View, Oklahoma or can
call on customer care at 580-347-2519.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.